Now his has Pancreatitis...my poor baby!!

mickeys mom

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Mickey, has hyperthyroidism and kidney disease and can't tolerate the methimazole medication in pills or gel form. He can't eat the Hills Y/D food cause it's not good for him with kidney disease.  So I asked my vet for an alternative medication for the hyperthyroidism she told me there is no other medication for this. She also, said I could call another animal hospital for other opinions.  So I called the vet I take my birds to, although she is a bit further away I just needed her to take a look at Mickey.

I had Mickey's records and recent complete blood panel results faxed to her. I brought Mickey, in for a visit this past Wednesday 1/23/13.  She checked him over, weighted him and suggested a blood test for FPL and a blood pressure check. His blood pressure and heart are both normal and the technician showed me how to inject Mickey with fluids under his skin.  I went home with 3 tablets of Mirtazapine to encourage his appetite and the set up for 10 injections of fluid to be given daily, I give him 1/2 a tablet of the Mirtazapine every 3 days. She called me the next day with the results of the FPL which was that Mickey's pancreas is inflamed and irritated. So the very next day I picked up Buprenorphine to be given on his gums every 12 hours for 5 days. His appetite has surely improved with only 1 half tablet. The vet said she is very happy about his now big appetite cause that will help his pancreatitis issue. 

The new vet does not want to have him eating the Y/D food cause it will not be good for his kidney's. So right now she wants me to continue with the Buprenorphine and the fluids under his skin. To heal his pancreas first.

It's a fight to get the medicine on his gums but I'm managing okay, it does get done. Plus the fluid's under his skin is so difficult doing it all alone. I have to hold him so tightly so that he will not pull away from me.

The vet said, she will call my Monday to find out how Mickey and I are doing with the meds and fluids.  The vet wants to see him again in 10 days from his first visit which will be 2/6/13.

I did notice he seems to be a bit sleepy with the Buprenorphine, and I was so afraid to give him this medication that I questioned it about everything. To me I thought it was the same as giving him morphine and I didn't want to do that, but she assured me it's very different.

If someone can tell me an easy way to inject Mickey with the fluids doing it by myself, I would so appreciate it. When the technician showed me how to do it, she let me do it myself but she was holding him in place. I'm totally alone doing this and I find it very difficult to hold him and administer the injection at the same time. I was suppose to do it again last night but, I was in tears trying to figure out how to do it without a battle so I didn't do it. I sure could use someone's suggestions...Thank you!

Sorry this is so long.  
 
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peaches08

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I warmed the fluids by placing the 1000 mL bag in a sink full of hot water. Just the bag, not the drip chamber and tubing. Once warm I ran the fluid a bit in the sink to eliminate any air in the lines. My old Grey girl actually got to where she liked getting her fluids, I think the warm fluids were soothing.
 
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mickeys mom

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I warmed the fluids by placing the 1000 mL bag in a sink full of hot water. Just the bag, not the drip chamber and tubing. Once warm I ran the fluid a bit in the sink to eliminate any air in the lines. My old Grey girl actually got to where she liked getting her fluids, I think the warm fluids were soothing.
That's a good idea, maybe if it's warm he won't try to pull away. I'll give it a try.  Thank you.
 

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Grey did NOT appreciate the cold fluids at the vet. She pulled away then too. Also, consider experimenting with different needle guages. An 18 guage is a big poke, but Grey appreciated getting tge fluids faster this way than with the smaller 20 guage needles.
 
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mickeys mom

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Grey did NOT appreciate the cold fluids at the vet. She pulled away then too. Also, consider experimenting with different needle guages. An 18 guage is a big poke, but Grey appreciated getting tge fluids faster this way than with the smaller 20 guage needles.
The needle gauge size I have is also the 18 gauge, and yes it sure is a big poke. Makes me a bit nervous with such a large needle, I'm afraid it hurts Mickey, when I inject it into him, but the fluids do flow faster.
 

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I like to hang the bag on a hanger and then put that on the shower rod. Then u don't have to hold it up. If your cat fights you then you can wrap him up in a thick towel and hold him with your legs while you sit on the floor. Once the needle is in the skin at his nape and fluids are flowing you can gently hold it while rubbing the kitty. It can really be a pain at first but they do get used to it. If your cat loves a particular food you can also try distracting him w that while you work w the fluids. Good luck!
 

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Grey never loved being poked with the 18, but it helps to stick 'em quickly. A needle going in slowly HURTS! She tolerated the poke since she knew her warmed fluids were coming next. She'd actually lay down and sprawl out when getting them.
 
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mickeys mom

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I like to hang the bag on a hanger and then put that on the shower rod. Then u don't have to hold it up. If your cat fights you then you can wrap him up in a thick towel and hold him with your legs while you sit on the floor. Once the needle is in the skin at his nape and fluids are flowing you can gently hold it while rubbing the kitty. It can really be a pain at first but they do get used to it. If your cat loves a particular food you can also try distracting him w that while you work w the fluids. Good luck!
Osciemom...

I don't have much room to sit by my shower rod, since my bathroom is so very small, but I do have a clothes hook on the back of the bathroom door that will work just fine. At that end of the bathroom there is more room to sit with him on the floor.  A thick towel sounds to me like it will really help a lot, I didn't think of that!
  I will do that this evening, it will only be his second treatment at home with me.

Your new here so I want to say a big WELCOME TO YOU!! This is your very first post here and you seem to have registered to help me, and I so appreciate all your help. You are awesome!!
 
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mickeys mom

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Grey never loved being poked with the 18, but it helps to stick 'em quickly. A needle going in slowly HURTS! She tolerated the poke since she knew her warmed fluids were coming next. She'd actually lay down and sprawl out when getting them.
Peaches08...

That's what I need to remember...inject the needle quickly so that it doesn't hurt him so much. I may have put it in too slowly cause I was nervous and doing it slowly caused him more pain. That really upsets me knowing I hurt him.
(I'm so sorry Mickey ...my poor Mickey.)  Thank you Peaches08 for informing me of my error. You are so good to your little girl and she is so lucky to have you. 
Thanks again!    
 

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That's a good idea, maybe if it's warm he won't try to pull away. I'll give it a try.  Thank you.
That made ALL the difference for Spooky. :nod: She LOVES being brushed. So I take her into the bathroom and put her on my lap while her fluids are warming up. When they're warm, I hang the bag, get everything ready (which includes running the water through the line until I feel the warm water coming out), and put her back on my lap and brush her another few strokes. I tent and pinch her back around where I'm going to poke the needle a couple of times so she doesn't know which "pinch" is the needle going in, and I tent her back and poke it in kind of hard and quickly. :nod: She "meewps" at that, but I grab the brush and brush her cheeks, and she starts purring. I keep brushing her cheek with my left hand while I open the drip just a little. When it's warm, she doesn't seem to notice it going in. When she's completely relaxed and purring again, I speed up the drip. I don't ever have it going as fast as it can, but that's also because she's content to lie on my lap and be brushed during the process.

If I had to do this with a kitty that didn't like being on my lap, I'd use a cat bag to do this. I have one in case any of the cats I can't handle as well needs either fluids or to be syringe fed. :nod: This is the bag I have:
They run small, so I really ought to get an extra large bag in case Chumley or Billy ever needs fluids. Laz and Shel might not fit in the large bag either, even though they only weigh 12 pounds, they're really long kitties...

I'm so sorry about the pancreatitis news. :( :hugs: :vibes: :vibes: :vibes: :vibes: :vibes:
 
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mickeys mom

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That made ALL the difference for Spooky.
She LOVES being brushed. So I take her into the bathroom and put her on my lap while her fluids are warming up. When they're warm, I hang the bag, get everything ready (which includes running the water through the line until I feel the warm water coming out), and put her back on my lap and brush her another few strokes. I tent and pinch her back around where I'm going to poke the needle a couple of times so she doesn't know which "pinch" is the needle going in, and I tent her back and poke it in kind of hard and quickly.
She "meewps" at that, but I grab the brush and brush her cheeks, and she starts purring. I keep brushing her cheek with my left hand while I open the drip just a little. When it's warm, she doesn't seem to notice it going in. When she's completely relaxed and purring again, I speed up the drip. I don't ever have it going as fast as it can, but that's also because she's content to lie on my lap and be brushed during the process.

If I had to do this with a kitty that didn't like being on my lap, I'd use a cat bag to do this. I have one in case any of the cats I can't handle as well needs either fluids or to be syringe fed.
This is the bag I have:
They run small, so I really ought to get an extra large bag in case Chumley or Billy ever needs fluids. Laz and Shel might not fit in the large bag either, even though they only weigh 12 pounds, they're really long kitties...

I'm so sorry about the pancreatitis news.
LDG...

Thank you for all your helpful tips I will be sure to try them.  Mickey also likes to be brushed, so that's a wonderful idea. I will try it with a thick towel and lovingly brush him to distract him while giving him the fluids. If the towel is still a struggle I will look into a cat grooming bag. 

I'm really glad...not that he has pancreatitis but that I brought him to a my other vet and she thought to check his blood for FPL. Otherwise the first vet didn't think to do that test and she wanted me to transition him to the Hills Y/D food since his body can't tolerate the Methimazole. But, the ingredients in the Hills Y/D food is not good for a kitty that has kidney issues. Plus, this 2nd vet did give me Mirtazapine to encourage his appetite and it only took a half a tablet 3 days ago (Wednesday) and his appetite is still wonderful. The vet said, if his appetite is still good after 3 days than I don't need to give him another half dose of the Mirtazapine plus she said that his good appetite will really help is pancreas a lot. So even though this vet is about 30 minutes away compared to 10 minutes away I'm very happy with her. She really seems to be a very good vet and that's what I want for Mickey. 

Thank you for sending good vibes towards us it's so much appreciated! 
 
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mickeys mom

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I'm so happy to say that the procedure of fluid injected into Mickey was so very much better than our first attempt. The warm fluid, the towel and sitting on the floor with him brushing, patting and talking to him lovingly...the procedure was much easier.  Thanks to all of you with your experience and wonderful good tips. This was a breeze and Mickey didn't seem too bothered with the needle entry, since now I know to do it quickly.  If Mickey could talk he would say,  well Mom that was better!!  
 
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mickeys mom

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Well now it was the other issue. I just walked over to where his was relaxing on his mat in front of my Quaker Parrot and gently gave him the Buprenorphine on his gums. I just kept saying what a good boy...this will be quick...okay here we go 1 2 3 done. My Quaker Parrot says, there you go!  Mickey looked at the bird as if to say what was that about? At least you don't have to deal with it...stay out of it!!  Mickey than walked away and looked back at us with what looked like a little pout.  We are a team!!
  Sorry Mickey!
 
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Mi key's mom,

We give our Wilbur sub-q fluids every day. He tolerates it some days better than others. He also has bouts with pancreatitis so he gets the buprenorpfhine too. We found it more effective, and easier to administer with a sub-q injection. Check with your vet if you are comfortable with it. Our poor kitty gets twice daily insulin injections, blood glucose tests and a half dozen pills along with the fluid. He is a very patient cat. All seems to give him a happy life so far. You can get comfortable with the fluids. We give him the fluids with him on our bed lying on a towel. You can get the small wall mount hangers at lows so you can hang the fluid bag just about anywhere. Good luck, you and your boy will adapt..
 
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mickeys mom

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Mi key's mom,

We give our Wilbur sub-q fluids every day. He tolerates it some days better than others. He also has bouts with pancreatitis so he gets the buprenorpfhine too. We found it more effective, and easier to administer with a sub-q injection. Check with your vet if you are comfortable with it. Our poor kitty gets twice daily insulin injections, blood glucose tests and a half dozen pills along with the fluid. He is a very patient cat. All seems to give him a happy life so far. You can get comfortable with the fluids. We give him the fluids with him on our bed lying on a towel. You can get the small wall mount hangers at lows so you can hang the fluid bag just about anywhere. Good luck, you and your boy will adapt..
Hi mnjcats...

First welcome to The Cat Site!  This is an awesome place with so many helpful people here, and I really hope you enjoy your chats here. I love this site!


Thank you for such encouraging words. You and your cat are doing so wonderful with everything you both have to endure and yes, your cat is so very patient to have to put up with so much.  But, I can tell he's very happy and loved by you. Keep up the good work with Wilbur, I'm sure even though you say he tolerates it I'm also sure he appreciates everything you do for him. He knows you love him lots!


Thanks for the helpful tips...I will ask my vet about injecting the Buprenorphine with his fluids, that would work much better.
 

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Great to hear it went so much better! It is scary at first, and that makes it hard. :nod: But it gets easier. In fact... I bet you both will come to enjoy the special time together. :heart2:

Continued :vibes: :vibes: :vibes: !!!!
 
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mickeys mom

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Hi mnjcats...


Thanks for the helpful tips...I will ask my vet about injecting the Buprenorphine with his fluids, that would work much better.
Hi mnjcats ~

I just remembered that this will not work for each injection since Mickey gets the Buprenorphine twice a day (every 12 hours) and he gets his fluids only once a day.  Plus the Buprenorphine is for only the next 3 days. But, I will still mention it to my vet.  Thanks again.    
 
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mickeys mom

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Great to hear it went so much better! It is scary at first, and that makes it hard.
But it gets easier. In fact... I bet you both will come to enjoy the special time together.


Continued
!!!!
Hi LDG ~

I'm so pleased that it went so well and that Mickey excepted the fluids without any struggles. Yes I also believe we will both enjoy our special times together.  I love him so much and I do get his love in return, he's so very sweet. 
 

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Mi key's Mom,

I actually meant to suggest that you give him a sub-q shot, not delivered at the same time as the fluids, in our case with Wilbur in the scruff of the neck. In fact the vet advised not to give the shots or the insulin at the same time as the fluids because the fluids can dilute the meds. We do the fluids about 3 hours before any other meds once a day. The vet suggested this method because when we tried the oral method for the buprenorphine he would spit out a good amount of the dose. We also give Wilbur 12 hour doses of the buprenorpfhine. He is off it now but if he gets a flare up of the pancreatitis that is how we administer. He doesn't even know he got a shot.
 
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